Individual
MS. KENDALL MARLOWE BLAIR
Active
Individual
MS. KENDALL MARLOWE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60683110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508116773
—
WA
01
—
P01715985
RR PTAN WVH
WA
Enumeration date
09/14/2012
Last updated
10/28/2016
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